Root Canal Treatment Consent Form

A root canal treatment consent form is an essential document for dental practices performing endodontic procedures. This comprehensive template helps dentists obtain informed consent by clearly explaining the root canal procedure, expected outcomes, potential risks, and alternative treatment options to patients.

Why dental practices need this template:

Root canal therapy is one of the most common yet misunderstood dental procedures, with over 15 million performed annually in the United States. Having a thorough consent form protects both the practice and the patient by ensuring clear communication about what to expect before, during, and after treatment.

This Paperform template streamlines the consent process with conditional logic that adapts based on patient responses, embedded educational content about procedure steps, and digital signature capture for legally binding consent. The professional, branded design helps reduce patient anxiety by presenting information in a clear, accessible format.

Perfect for:

• General dentists performing endodontic procedures
• Endodontists and specialized dental practices
• Dental clinics and group practices
• Oral surgery centers

The form includes sections for patient information, medical history relevant to the procedure, detailed procedure explanation with success rate statistics, risk disclosure, alternative treatment options (including extraction), crown placement recommendations, and post-operative care instructions.

With Paperform's Papersign integration, you can automatically generate a signed consent document that's stored securely with the patient's record. Use Stepper to automate follow-up workflows—schedule post-treatment check-ins, send aftercare instructions, or trigger appointment reminders for crown placement, ensuring continuity of care without manual administrative work.